Jefferson, GA · Jackson County
Erosion Control Affidavit
The Erosion Control Affidavit identifies a project and its responsible person for anyone seeking a Land Disturbance Permit in Jefferson.
What this form is
This form identifies the project, site address, company, and contact person responsible for following the City of Jefferson’s soil erosion, sedimentation, and pollution control requirements. The city requires the signed affidavit before issuing a Land Disturbance Permit. The signer acknowledges the responsibility to use Best Management Practices and the potential consequences of failing to comply with the city’s requirements.
Who needs it
Anyone responsible for a project involving clearing, grubbing, grading, or development must submit the affidavit before the Land Disturbance Permit is issued.
How to submit it
Deliver the signed affidavit to the City of Jefferson before the Land Disturbance Permit is issued. The form lists 147 Athens Street, Jefferson, GA 30549, and phone (706) 367-5011.
About notarization
This document is signed without a notary; it gives no notarized or sworn-attachment instruction, so the responsible person prints their name, signs, and dates it.
How to submit this form
- 1
Download the Affidavit
Download the Erosion Control Affidavit PDF.
- 2
Complete the Project Details
Select the project activities and enter the project, site, company, and contact information.
- 3
Sign and Date
The responsible person prints their name, signs, and dates the affidavit.
- 4
Deliver It to the City
Deliver the signed affidavit to the City of Jefferson before the Land Disturbance Permit is issued.
Frequently asked questions
- Do I need a notary for the Erosion Control Affidavit?
- No. The document has no notary block or notarized attachment instruction; the responsible person prints their name, signs, and dates the form.
- How do I submit the Erosion Control Affidavit?
- Deliver the signed affidavit to the City of Jefferson before the Land Disturbance Permit is issued. The form lists 147 Athens Street, Jefferson, GA 30549.
- What information does the affidavit ask for?
- It asks for the project type, project name, site and company addresses, and contact name, phone number, and email. The responsible person also prints their name, signs, and dates it.
Need something notarized?
This Erosion Control Affidavit doesn’t need a notary — but if you have another Jefferson form that does, a commissioned online notary can help.